Safe Sleep
 Babies placed on their stomachs to sleep are more likely to die of SIDS (Sudden Infant Death Syndrome) or accidental suffocation than babies placed to sleep on their backs.
Babies are likely to die of SIDS or accidental suffocation if they are placed to sleep on top of soft bedding or if they are covered by soft bedding.
How can I lower the risk of SIDS or accidental suffocation for my baby?
- Back to Sleep: Infants should be placed to sleep on their backs for every sleep.
- Use a firm sleep surface: A firm crib mattress, covered by a tight-fitting sheet, is the recommended sleeping surface.
- Keep soft objects & loose bedding out of the crib: Pillows, quilts, comforters, sheepskins, stuffed toys and other soft objects should be kept out of the infant's sleeping area.
- Do not smoke during pregnancy: Also avoiding an infant's exposure to second-hand smoke is advisable for many reasons in addition to SIDS risk.
- A separate but close sleeping area is recommended such as a crib in the parent room: Bed sharing during sleep is not recommended.
- Consider offering a pacifier at nap time and bedtime: The pacifier should be used when putting an infant down for sleep and not be reinserted once the infant falls asleep.
- Avoid overheating: The infant should be lightly clothed for sleep, and the bedroom temperature should be kept comfortable for a lightly clothed adult.
- Avoid commercial devices (wedges, positioners) marketed to reduce the risk of SIDS: There is no evidence that use of home monitors decreases the risk of SIDS.
- Avoid the development of "flat back of head": Encourage "tummy time" when awake. Avoid having the infant spend excessive time in car-seat carriers and "bouncers". Place the infant to sleep with the head to one side for a week and then changing to the other.
- Assure that other caring for the infant are aware of "Back to Sleep" recommendations.
What about side sleeping?
To keep your baby safest while sleeping, always place your baby Back to Sleep unless your healthcare provider tells you otherwise.
Can my baby choke while sleeping on his or her back?
No. Babies will automatically turn their heads, cough or swallow.
Is it safe to let my baby sleep in bed with me?
Adult beds have soft mattresses, bedding, quilts and pillows. If breastfeeding, return your baby to his or her crib after feeding. Place your baby’s crib next to your bed or in your room to keep your baby close.
 Visit these resources for additional information:
Indiana Perinatal Network – www.indianaperinatal.org
National Institute of Child Health & Human Development
www.nichd.nih.gov – 1-800-505-CRIB
National Back To Sleep Campaign
www.nichd.nih.gov/sids/sids.cfm
CJ Foundation
www.cjsids.com
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